Jump to content

Concurrent Miscarriage
Miscarriage


  • Please log in to reply
3 replies to this topic

#1 Meet2013

Posted 18 February 2013 - 06:44 PM

Hi All,

Required your valuable suggestion for the concurrent miscarriage of my wife, i am sharing the case details with reports
She is under observation of a experienced doctor but still i want to check if any test or any diagnosis  is missed.


1st Miscarriage:-

May 2008
Report of TVS given below,
1. Uterus is bulky in size.
2. Endometrial cavity shows a gestation sac.
3. GSD measures 1.82 cm - 6 weeks 1 day.(LMP gestation age is 9 weeks)
4. No fatal pole is seen.
5. Cervical Canal is normal.
6. Both Ovaries are normal in size and shape. Parenchyma of both ovaries are within normal limits.

No cardiac pulsation noted.

IMPRESSION:-
Features are favor of Anembryonic Pregnancy

Dr suggested to surgical evacuation of missed abortion. After the evacuation another USG has been done and results are
given below,

1.Urinary Bladder:- Urinary bladder is well distended with normal wall thickness.No intramural lesion is noted.
2.Uterus:- Uterus is normal in size,shape and outline.It is anteverted. Myometrium echogenicity is normal. No obvious
focal lesions are noted in the myometrium.
3. Endometrial stripe is normal and measures approx 4mm.
4. Uterus measures 8.5 X 4.9 X 3.2 cm
5. Ovaries :- Both ovaries are normal in size and echogenicity. No focal lesion is noted in the ovaries.
Right ovary measures 2.7 X 1.7cms. and left ovary measures 2.9 X 2.0cms.
6. No free fluid is seen in cul-de-sac.

IMPRESSION:- Normal USG of lower abdomen.

Dr suggested to avoid trying for next 2-3month and advised to perform TORCHS IgG + IgM Infection test.

In TORCHS Test Rubella IgG value observed 0.48 IU/mL so Dr has suggested to take RVAC vaccination after next period and
advised to avoid pregnancy for next 3 period /2.5 months.

After completing three month we have tried for pregnancy and at that time she was having Folinex D(daily one) from
Day one of period.


2nd Miscarriage:-
February 2013
In January she missed period and preg test card was positive, So had a discussion with Dr and he asked to take Folinex D and
Microgest 200mg. Advised to perform USG after one month (LMP 12/12/12)

USG Report as on 31.01.2013:-
1. A small intra-uterine gestational sac noted with faintly delineated embryonic pole. No demonstrable evidence of cardiac
pulsation noted.
2. Trophoblastic reaction is uniform,global with regular outline.
3. No peri-gestational fluid noted.
4. Cervix looks healthy and endo-cervical canal appears collapsed.
It measures 34mm X 26mm internal OS is closed and normal.
5. Amniotic Fluid appear less.
6. A postero-right fundic sub serous fibroid (35mm X 26mm X 35mm) noted.
7. Adnexa : No obvious mass lesion could be detected.
8. Ovaries are appear normal.
9. Pouch of Douglas is clear.

Gestation : (POA : 7 weeks 1 day, LMP 12/12/2012)
Biometry : Corresponds to an average gestational maturity of 5 weeks and 1 days
GSD =  16mm : 5 wks 1 day

Yolk sacs faintly delineated.
IMPRESSION:-
1. Intra-uterine small gestation of average gestational size of 5 weeks 1 day at POA of 7 weeks & 1 day with faintly delineated
embryonic pole.
2. No retro-placemental pathology. Cervix : within sonographic limit

Dr. Suggested to continue medicine as prescribed before and perform one more TVS after 2 weeks.

TVS Report as on 16/02/2013:-
1. Single ,still embryo noted at changing lie.
2. Placenta (maturity :- grade - I ) is localized anteriorly/posteriorly at upper segment of uterus,well off the closed
iternal OS. No retro -placental collection noted.
3. Cervix looks healthy and endo-cervical canal appears collapsed. It measures 28mm X 21mm.
4. Amniotic fluid is adequate.
5. No Uterine SOL or anomaly is detected.
6. Andexa : No obvious mass lesion could be detected.
7. Obaries are appears normal.
8. Pouch of Douglas is clear.

Foetus :- (POA : 9 weeks 3 days, LMP: 12/12/2012)
Biometry :- Corresponds to an average gestatioal maturity of 7 wks & 3 days.
CRL = 12mm :: 7 weeks 3 days
GS = 24mm :: 6 weeks 4 days

No Cardiac pulsation noted.

IMPRESSION:-
Embryonic demise : Missed abortion.


Dr suggested to perform Surgical Evacuation as early as possible to avoid infection and it has been done today (18/02/2013)

Dr taken sample for HPE and POC for Chromosome Analysis. We will receive the reports after 3 days and i will share the same
after that.

I just want to have a secondary advise on this case...Is all treatment are ok or we can do something more to identify the
concurrent miscarriage. All her other reports are normal ( suger/HIV/bilirubin/hemoglobin/HBsAg/Thyroid/Hepatitis C Virus)
Till the time we are in dark and yet to know root cause of concurrent miscarriage.

#2 Snuffster

Posted 18 February 2013 - 07:03 PM

I would trust your doctor and/or obs/gyno.

I experienced 4 miscarriages in a just over 1 year period, with each pregnancy only having 1 month break inbetween them. It took until the 3rd miscarriage for my private Obs to order DH and I to have several tests to rule out chromosomal abnormalities and other factors. It turned out that I had a clotting disorder and was on asprin for the duration of my pregnancy.

With the amount of time in between the two miscarriages, it is doubtful that the doctor would be going into this amount of testing as yet.

I am so sorry for your losses. It is truly heartbreaking, and I hope that your doctor is able to help you fulfill your dream of a family.

Edited by Snuffster, 18 February 2013 - 08:53 PM.


#3 mandala

Posted 18 February 2013 - 07:24 PM

I am sorry for your experience of miscarriage.

I agree with Snuffster. I'm surprised that your doctor is willing to order a chromosomal analysis on the products of concept after only two losses, but it is the most appropriate next test. The other tests for recurrent miscarriage usually involve looking at clotting disorders.

Unfortunately, in most cases the cause of miscarriage is unknown. In my case, even with a history of problems associated with clotting and recurrent miscarriage, my miscarriage was deemed to most likely be bad luck.  Even if the cause had been put down to clotting problems, there are very few treatments, and those have their own side effects.

In cases of chromosomal problems, with the exception of IVF with PGD (only suitable for some chromosomal disorders), there is not much to be done either.

A pregnancy in 2008 followed by one in 2013 is a fairly signficant gap. I would ask my doctor in that situation about other fertility problems, unless of course you had other successful pregnancies in that time.

#4 Meet2013

Posted 18 February 2013 - 11:40 PM

Thanks Snuffster & KRT


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

Why I breastfed my son until he was three

The fact that I not only breastfed my son, but breastfed him for three and a half years, seems pretty incredible in retrospect.

Do babies and young children see ghosts?

Do babies and young children see ghosts? If you’ve pondered the question, you’re not alone.

15 years with Essential Baby: meet Therese

"Life has a funny way of giving you what you need when you need it the most."

Mum causes a stir by taking a stand against leggings

A mum has found herself the subject of debate after claiming tight bottoms cause lustful thoughts in men.

Don't set a parenting goal for 2015 - do this instead

The problem with goal setting as a parent is the measure. How do we really know if we’re succeeding?

5 pregnancy myths that just won't go away

When you're expecting, it often seems like everyone is keen to offer advice about what you should and shouldn't do in the interests of your health and wellbeing.

RPA hospital contacting mums after discovering vaccine storage fault

Sydney's Royal Prince Alfred Hospital (RPA) is trying to contact women who had babies at the facility after discovering a fault in a refrigerator containing vaccines.

'Nutella' not a baby name, French court says

A French court has blocked parents from naming their baby girl after the hazelnut spread Nutella, arguing it would make her the target of mockery.

Why I'm never calling myself 'just a mum' again

I’ve grown three human beings. I feed them, dress them, teach them, care for them and love them 24 hours a day. Yet for eight years, when I meet new people and they’ve asked me what I do, I tell them: “I’m just a mum”.

Rosie Batty named 2015 Australian of the Year

One year ago, Rosie Batty could not have imagined she'd be where she is. Tonight the grieving mum who put domestic violence on the national agenda was named Australian of the Year.

Five reasons to hug more

Hugging – some of us thrive on it, even depend on it – and then there are those who don't care for it really. So, are they missing out?

Help - my three-year-old has started throwing tantrums

My daughter never went through the "terrible twos" but began throwing wild tantrums shortly after her third birthday.

That's commitment

First peek at Sonia Kruger's daughter Maggie

"She smells so good, I could eat her," Kruger tells co-host David Campbell.

Mum assists in own caesarean surgery

A mum who partly delivered her own twins during a caesarean has encouraged other women to take control of their birthing experience.

How to handle common childhood regressions

Regression can be a natural and common part of development prompted by a variety of factors, but that doesn't make it less frustrating.

Disgruntled dad's pram ad goes viral

When buying a second hand pram, there are lots of things to take into consideration. 

Man discovers he's a dad after finding 55-year-old letter

Discovering you are about to father a baby is startling enough - never mind finding out you have a 61-year-old son.

15 thoughts mums have during a tantrum

Ranging from mild to feral and triggered by events both minor and major, tantrums certainly keep life interesting.

Natural pain relief in the early stages of labour

While managing labour pains on your own can be daunting, there are a number of natural pain relief options to help you cope until you are admitted to hospital.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Forgotten Baby Syndrome claims the life of toddler

One baby dies every eight days in the back of a car in the US, victims of 'forgotten baby syndrome'.

For a brief time, I was touched by an angel

For a brief time, I was touched by an angel. You stole my heart, and changed me into the women I am today.

Chinese woman gives birth to quintuplets

After six years of trying for a baby, a couple’s dreams have come true many times over after the mum gave birth to quintuplets this week.

Chrissie Swan has reached her "sex quota"

Chrissie Swan says she and her partner have sex once a year due to her fear of falling pregnant.

Stars help save choking babies

It's an important lesson to learn, but one that busy new mums and dads might overlook until it's too late.

New Girl star Zooey Deschanel pregnant

Actress Zooey Deschanel is expecting her first child with her producer boyfriend Jacob Pechenik.

16 times 'dad reflexes' saved the day

Of course, in some cases they may be the ones who actually got their child into a precarious position in the first place, but we'll ignore that for now.

Couple's 'non-traditional' pregnancy announcement goes viral

Knowing you are not the father of your pregnant wife's baby would usually indicate a rocky relationship ahead for traditional parents.

The trials and tribulations of identical triplet newborns

Pip Donnelly is still playing spot the difference with her newborn identical triplets, Isabelle, Georgina and Frankie.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Earthquake baby thriving five years on

Jenny Alexis is lucky to be alive after spending four days buried in the rubble of the 2010 Haitian earthquake, but now she's a thriving five year old.

Please don't say I'm lucky because I was adopted

On the one hand I was having a regular life with friends and sports and sleepovers and school. But I was also always wondering: Did my mother love me? What was wrong with me?

An open letter to non-parents who offer advice on child-rearing

Kitty, when you’re the parent of my child you’re welcome to wade in with an opinion – but until then, I’d prefer you to have a supportive ear and a glass of wine ready.

Couple arrested over baby gun video

A US couple faces charges after investigators say they found mobile phone videos showing the woman's 12-month-old daughter putting a handgun in her mouth.

NSW Health dumps 10-year limit on frozen embryos

A 10-year time limit on storing frozen embryos that were created with donor sperm has been dropped by the NSW government.

How my happy-go-lucky husband became a monster

Sharan Nicholson-Rogers watched her husband change from a happy-go-lucky police officer into an unpredictable man prone to violent and emotional outbursts.

Dads-to-be experience hormonal changes, too

Dads-to-be experience hormonal changes in line with their pregnant partners, a new study shows.

'They were just doing their job': mum of toddler killed in police chase gone wrong

"They were just doing their job. I feel so sorry for them. It is all just too sad."

Miscarriages to be formally recognised by NSW government

Women who miscarry will be able to obtain an optional "recognition of loss" certificate as a formal recognition of their often heartbreaking loss.

Cafe cubby house 'too noisy' for neighbours

Teenage parties, domestic disputes, or raucous late night pubs are the things that usually come to mind when you think neighbourhood noise complaints.

Dad films baby playing with snake

Most parents would not consider a snake an appropriate playmate for their baby, but a US dad who filmed his daughter playing with a python has defended himself against criticism.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Back to School Offer

Findababysitter.com.au

We've got you covered for this school year. Use www.findababysitter.com.au to meet local nannies now.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.